patient engagement, the mobile paradigm cso himss spring...
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© CSOHIMSS 2013 Slide 0 Meaningful Use: The Practical Approach May 17th, 2013
Patient Engagement, The Mobile paradigm
David Weeks, VP Healthcare Sogeti USA
CSO HIMSS Spring Conference 2013
© CSOHIMSS 2013 Slide 1 Meaningful Use: The Practical Approach May 17th, 2013
Agenda
Introduction
What is Patient Engagement?
– Mobility and Patient Engagement (PE)
Why Mobility works for Patient Engagement
– Healthcare landscape for PE and Mobility
– Some Best Practice solutions (demo)
How to go from here to there?
– Follow a Plan, however small! Understand the Security and Compliance implications (FDA)
– Healthcare PE Mobile Maturity Model ©
– mHIMSS Roadmap material
– Engage! Transforming Healthcare Through Digtial Patient
Engagement (HIMSS), Jan Oldenburg
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Originally from UK
Worked 17 years with EDS, in manufacturing and Healthcare
Came to US in 2000
Worked in Healthcare/ Insurance 12 years
– Enterprise Architecture
– Director BI, Applications
– CTO, Innovation and Mobility program lead
– CIO
Currently responsible for Healthcare for Sogeti USA, part of
Capgemini group
Introduction
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WHAT Patient Engagement and Mobility
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The new normal for Healthcare
Consumer Engagement
Change to HC delivery Model – FFS to ACO
Consumer Empowerment/
Choice
Regulatory Requirements/ Government intervention
Healthcare Costs
Adapted from mHiMSS Roadmap 2013.
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Patient engagement using personal health IT tools comprises
actions individuals take to obtain the greatest benefit from the
health services available to them, using information technology
capabilities that enables them to:
– Better understand their health and health conditions
– Obtain access to their own health data in real time or near real time
– Improve communications with their doctors and providers
– Take more responsibility for their own health and health outcomes
– Improve their experience of interacting with the health system
– Inform and educate their families and caregivers
– Get support about health and healthy behaviors from family, friends,
caregivers and health professionals
(Definition from Transforming Healthcare through Digital Patient Engagement – Jan Oldenburg, FHIMSS)
What is Patient Engagement?
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eHealth Collaborative view
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So what are some mobile PE use cases?
FYI – When I say Mobile ‘App’, it could be Mobile Website, a Native
‘app’ or a hybrid solution.
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Mobile and Patient Engagement
Some Use Case New Mobile engagement paradigms
Purchase Health Insurance Shopping, Comparison of options, Purchase
and enrollment
Seek Healthcare Information Symptom checker, disease and medical
condition, Guide to appropriate care
Access Care View ID Card, Appointments, Reminders
Receive Care Payment estimator, Out-of-Pocket payment,
Updated PHR, Condition info, Telemedicine
Select follow up care Medication reminders, Connection to Care
Manager
Manage personal Health and Wellness Connectivity to Wellness devices
Manage Healthcare expenditures FSA, HSA tracker
© 2013 Sogeti. All rights reserved.
© CSOHIMSS 2013 Slide 10 Meaningful Use: The Practical Approach May 17th, 2013
WHY Patient Engagement and Mobility
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Mobile First for Patient Engagement
One billion consumers will have smartphones by 2016 (US – 257
million smartphones and 126 million tablets).
Mobile apps (websites or apps) is an engagement tool in your
patients pocket.
Mobile is part of the “perfect storm” of Social, Mobile, Cloud and
Big Data that can deliver capabilities directly in the context of
daily lives and real-time workflows. Forrester Research, Feb 2012
Lets see
a non-Healthcare
example
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Healthcare Mobile ‘app’ Landscape
The Consumer/Patient is starting to become the center of
attention.
Currently, there are about 97,000 mobile health applications
available from a number of different app stores, with 15% of them
dedicated to medical professionals instead of patients and
popular consumers
Most Hospital systems have some form of basic patient mobile
app. Plus mobile access to patient record.
However capabilities are limited, often hard to find and difficult to
use.
DEMO - iTriage, Carolinas,
Wellmark
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FDA regulation landscape - Mobile Apps
Mobile Medical Device (regulated) – Displaying, storing or transmitting PHI,
e.g. Mobile ECG viewer like Airstrip
solution
– Controlling connected medical device,
e,g, app the controls a blood pressure
cuff.
– Interpretation of Medical Device data
Mobile Apps (may be regulated) – Patient Education data viewers
– Organization of PHI, such as lab results
(e.g. iLog Lyme)
Mobile Apps (not regulated) – Health/ Wellness apps
– Billing
– On-line Appointments, Insurance
transactions
– Mobile EHRs or PHRs
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Some examples of Mobile Medical Devices?
Smart Heart - With smartheart and
a smartphone or tablet (iPhone,
iPad, Android, etc.), you can
perform a full hospital grade ECG
Glooko logbook – help diabetes
patients better manage their
glucose levels throughout the day
with glucose meter and companion
application
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HOW TO GO FROM HERE TO THERE?
Patient Engagement and Mobility
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Approach
Research
Have a Plan
– Seek first to
Understand!
– If you don’t know how
the current process
works how can you
improve it.
Formally organize for
Innovation
Be pragmatic
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Mobile Strategy Approach
Mobile IT
Capabilities
Persona
Analysis
Identify and define opportunities for mobile engagement and advantage to processes and Entities. Define conceptual features of top priority solutions.
Gather and assess ent
technology objectives.
Compile an outside-in
capability model of mobile
technologies, standards,
and practices (operating model) to
enable and deliver the solutions
Assess current capabilities and
readiness identifying gaps and
prioritization that must and
should be addressed to deliver
objectives. Address barriers and
constraints.
Define financial
benefit-cost proposition
from mobile to close gaps
and implement
operational changes.
Define roadmap for
realizing mobile solutions
and implementations of
standards, technologies
and operational changes.
Identify tactical “quick hit”
changes and
implementations, and
longer term actions.
Gap
Closure
Roadmap &
Strategy
User &
Process
Analyses
Mobile IT
Capabilities
Business
Case
Combine inputs into guiding
principles to galvanize
thinking and act as a checklist
for future mobile solutions
Benchmark &
Prioritization
Mobile
Solutions
Principles
Focus
Interviews
Current
Use
External
Input
Enterprise
Objectives
External
Input
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Bu
sin
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en
efi
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CIV Vision Fit
CIV Benefits Model
Control of my Data
Active Listening
Customer Measures
Data Cleanse / Architecture
Right Service / Right Channel
People like me
Segmentation
Single Sign on / ID Management
Customer Recognition
Single Customer View
Case Management
Proactive Communication / Response
Single Shopping cart
Next Best Of fer
Peer to Peer collaboration
Co-Creation
Integrated Knowledge base
CIV Architecture
Simplif ied user Interface
Simplif ied Billing
Technology Operating model
Technology Platforms
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Define profiles of target
audience, analyzing
pain points, key needs,
current solutions,
engagement levers Process
KPIs
Mobile
Opportunities
Cluster and align into solutions. Prioritize to enterprise & process objectives.
2
IT
Objectives
© 2013 Sogeti. All rights reserved.
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Using a Workshop Structure
Scan
• Allows participants to consider and assimilate large
volumes of information prepared before the event,
building a common understanding and arming
participants with the knowledge they require to
solve complex problems
Focus
• Enables participants to drill down into discrete
problem areas they have identified and supports the
design of solutions
Act
• Ensures the relevant action plans and next steps are
in place to drive through solutions and that
participants know what needs to be done to drive
momentum following the event.
A Workshop event is carefully designed to ensure it delivers its outcomes through a highly structured
and proven process
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Mo
bile
Str
ate
gy D
eli
ve
rab
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ec
tio
ns
Actionable and Results-Oriented
Mobile Strategy & Roadmap
• Near-term implementation plan including milestones
• Long-range roadmap
• Risk and mitigation assessment
Mobile Opportunities
• Results documentation from focus interviews
• Needs of target segments and engagement opportunities
• Priorities of mobile solutions and alignment to Mobile Charter and objectives
• Showcase what is possible with subset prototype of mobile one or two opportunities
Technology & Capability
Direction
• High level assessment of current technology architecture, processes and organizational readiness – gathered through VOC and as-is analysis, and interviews
• Future State direction on technologies and engagement capabilities
• Definition of gaps and closure strategy
Financial Justification
• Business benefits and investment models
• Model to track benefits and costs in the future to measure achievement of business case and enterprise advantage
Change Management
• Stakeholder analysis
• Communication and mobilization
© 2013 Sogeti. All rights reserved.
© CSOHIMSS 2013 Slide 20 Meaningful Use: The Practical Approach May 17th, 2013
SOME OTHER TOOLS TO HELP
Patient Engagement and Mobility
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PE Mobile Maturity Model - DRAFT
Functional Area Capability level 1 Capability level 2 Capability level 3
Health Information and
Care Access
Health Information &
Treatment direction
Symptom information
Direct guidance to care
Streamline care access
Insurance ID
Wait time and pre-treatment advice
Remote care options
On-line connectivity to physician
Integration to Provider systems
Receiving Care
Find Hospital/ Care/ Doctor
• GPS enabled mapping
Urgent care locations
Integrated appointments
Real-time Appointment s
Reminders (integrated with device)
Health Record updates
EHR integrated with PHR
‘Care Aware’ appointment process
Engaged and
Empowered Care
Care Tracking
Treatment diary
Bluetooth enabled connectivity
Integrated Ecosystem
Integrated to Health clubs
Prescription reminders
Financial Tracking
Personal Wellness tracker
PHR
Security for sharing
Health & Wellness and
Community
enablement
Provider Quality info
Provider quality ratings
Social network feeds
Social and Community
Forums for sharing and caring
Care team and Interoperability
Secure sharing of care plans
Collaboration
© 2013 Sogeti. All rights reserved.
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Make use of what's out there
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THANK YOU
http://www.us.sogeti.com/what-we-do/industries-healthcare.html